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Lake Winona Manor
865 Mankato Avenue, Winona, MN 55987 (opens Google Maps) · Winona County · (507) 457-4366· 80 certified beds · avg 64 residents/day · certified since Feb 1, 1982 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Mar 5, 2026
1
Serious findings on record
most recent Dec 18, 2025
$0
Fines, last 3 years
5.05
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Dec 18, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Actual harm, isolated · Dec 18, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 13, 2025 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.
The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. F-0554
The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. F-0572
The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. F-0577
View all 24 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554 |
| Mar 5, 2026 | C · Potential for minimal harm, widespread | The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · F-0572 |
| Mar 5, 2026 | C · Potential for minimal harm, widespread | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577 |
| Dec 18, 2025 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Dec 5, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812 |
| Dec 5, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint · F-0700 |
| Mar 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Oct 26, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881 |
| Oct 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Oct 26, 2023 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Oct 26, 2023 | B · Potential for minimal harm, pattern | The facility did not properly protect the personal money residents deposited with it for safekeeping. · F-0570 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
All citationsSerious citations (G–L)
2023
All citations: 14
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 1
2026
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 14 | 0 | F |
| 2024 | 6 | 0 | E |
| 2025 | 1 | 1 | G ▲ |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMinnesota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.05
Minnesota average: 4.83
U.S. average: 3.95
Registered Nurse hours
This facility: 0.79
Minnesota average: 1.22
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.44
Minnesota average: 4.27
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.05 | 4.83 | 3.95 | top 39% in Minnesota; top 12% in the U.S. |
| Registered Nurse hours | 0.79 | 1.22 | 0.69 | bottom 13% in Minnesota; top 28% in the U.S. |
| Weekend total nurse staffing | 4.44 | 4.27 | 3.50 | top 39% in Minnesota; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.69 | 0.48 | bottom 33% in Minnesota; top 35% in the U.S. |
| Total nursing staff turnover (%) | 34.1 | 42.2 | 45.8 | top 32% in Minnesota; top 22% in the U.S. |
| RN turnover (%) | 0.0 | 38.6 | 42.9 | top 1% in Minnesota; top 1% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.28, RN 0.67, weekend 3.76.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.28 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lake Winona Manor. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Winona Health Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2011 |
| Atkinson, Linda | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/05/2018 |
| Baker, Rodney | Individual | Corporate Director | NOT APPLICABLE | 01/01/2014 |
| Blue, Steven | Individual | Corporate Director | NOT APPLICABLE | 01/01/2007 |
| Broghammer, Matthew | Individual | Corporate Director | NOT APPLICABLE | 01/01/2007 |
| Brosnahan, Jan | Individual | Corporate Director | NOT APPLICABLE | 08/01/2011 |
| Brosnahan, Jan | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/24/2013 |
| Burke, Sandra | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Ceplecha, Audrey | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/01/2021 |
| Ceplecha, Audrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2021 |
| Decker, Vicky | Individual | Corporate Director | NOT APPLICABLE | 01/01/2007 |
| Evans, Greg | Individual | Corporate Director | NOT APPLICABLE | 06/01/2016 |
| Gilmer, David | Individual | Corporate Director | NOT APPLICABLE | 08/01/2018 |
| Hammel, Katrina | Individual | Corporate Director | NOT APPLICABLE | 02/01/2019 |
| Heising-Schultz, Rachelle | Individual | Corporate Director | NOT APPLICABLE | 01/01/2007 |
| Heising-Schultz, Rachelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2002 |
| Hoeg, Robin | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2014 |
| Miller, Hugh | Individual | Corporate Director | NOT APPLICABLE | 01/01/1993 |
| Modjeski, Nicholas | Individual | Corporate Director | NOT APPLICABLE | 12/01/2017 |
| Mogren, Kenneth | Individual | Corporate Director | NOT APPLICABLE | 01/01/2007 |
Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
- "Where do you post your latest state inspection results and the ombudsman's contact information?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 34% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 26 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Sainte Anne Extended Healthcare | 2.9 mi | Winona, MN | ★★★★☆ | 4/5 | |
| Sauer Health Care | 3.3 mi | Winona, MN | ★☆☆☆☆ | 2/5 | |
| Marinuka Manor | 14.5 mi | Galesville, WI | ★★★★★ | 5/5 | |
| Good Shepherd Lutheran Home | 17.6 mi | Rushford, MN | ★★★★★ | 5/5 | |
| Valley View Healthcare & Rehab | 18.9 mi | Houston, MN | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Winona, MN — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Whitewater Health Services — St Charles, MN · overall 2/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 245240.
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